or over 20 years, the Women’s Health Initiative (WHI) study has conducted research trials to examine factors that impact risks and development of conditions that impact women such as heart disease, breast and colorectal cancer, and osteoporotic fractures in postmenopausal women. Health care providers use results from these trials to develop guidelines for delivering care to patients. In your role in clinical settings, you must be familiar with these guidelines, and you must be aware that through clinical practice, guidelines frequently evolve and change. Often, what is considered a best practice today might not be a best practice in the future. For this Assignment, you compare guidelines outlined in the WHI study to current best practices for assessing and managing conditions.
To prepare:
Review the Women’s Health Initiative article in this week’s Learning Resources. Select one disorder presented in this study.
Locate and select a research article that addresses current best practices for assessing and managing the disorder you selected. Be sure that the research article you select is from a reputable source.
Consider the similarities and differences between the best practices presented in the WHI study and the article you selected. Think about the potential impact of differences in best practices on women’s health.
Consider whether the best practices in the article you selected should be used in clinical practice.
To complete:
Write a 2- to 3-page paper that addresses the following: The National Institutes of Health (NIH) established the Women’s Health Initiative (WHI) in 1991 to address the most common causes of death, disability and impaired quality of life in postmenopausal women. The WHI addressed cardiovascular disease, cancer, and osteoporosis. The WHI was a 15 year multi-million dollar endeavor, and one of the largest U.S. prevention studies of its kind. The three major components of the WHI were
a randomized controlled clinical trial of promising but unproven approaches to prevention;
an observational study to identify predictors of disease;
a study of community approaches to developing healthful behaviors. Describe the disorder you selected from the Women’s Health Initiative study.
Explain the current best practices for assessing and managing this disorder as suggested in the research article you selected.
Compare the best practices presented in the WHI study to the current best practices presented in the article. Explain how the differences in best practices might impact women’s health.
Explain whether you think the current best practices in the article you selected should be used in clinical practice. Support your position with evidence-based research.

 

You have been working as a police officer for the Centervale Police Department for two years. You are on your nightly patrol in your marked police vehicle with your partner, Edward, who has been on the force for seven years. You receive a call on the radio to respond to a domestic abuse situation requiring backup. Your partner and you are second to respond to the call. You arrive at the scene, which is in a neighborhood with a bad reputation. Upon arrival, you witness a couple, Abby and Bobby, standing outside their house, yelling obscenities at each other.The couple refuses to calm down and speak with the officers, Christina and David, who are already on the scene. The girlfriend, Abby, is slurring her speech and seems unaware of the trickle of blood running down the side of her head. The boyfriend, Bobby, has extremely bloodshot eyes and does not appear to have slept in days. Moreover, Bobby’s speech is accelerated, and he’s breathing rapidly as if he has just sprinted from the drugstore down the block. You notice that Bobby’s hands and face have scratches all over them.Also, the front door is open.
Your partner, Edward, has known this couple as they have been in trouble with the law before. He steps in between Abby and Bobby and begins to gather information from Abby, while you call for an ambulance.As Edward speaks with the couple, you begin to walk around the yard, observing what you can. You look in through the front door, and while there is only one light on in the house, you observe what appears to be a bong and a baggie of marijuana on the coffee table in the front room of the house. Because Edward is standing with Abby and there are two other officers outside with Bobby, you decide to enter the house to take a closer look.You discover that there is indeed a bong and a baggie of marijuana on the table. Looking under the couch next to the coffee table, you discover a shotgun as well. You begin to wonder what other illegal items might be in the house, when you hear a yell from outside and run out to discover that Bobby is being handcuffed and put in a police car. Apparently, Bobby tried to use a weapon on Abby in front of Edward and the other officers.He is quoted as saying, “Just because the cops are here doesn’t mean I won’t finish what I started!” as he reached for his waistband.As Bobby is being driven away, Abby breaks down into tears and cries out after her boyfriend, “Don’t worry, baby! I’ll come bail you out as soon as I can turn a little profit with the goods!”You tell your partner what you observed in the house. After the paramedics declare that Abby’s head injury is nothing more than a bad scratch, your partner and you drive Abby down to the police precinct for further questioning, leaving Christina and David at the scene to secure it until more investigation can be done.
What You Need to Do . . .
Utilizing APA guidelines and citing relevant case law and specific details from external sources, present a 4- to 6-page research paper that explains what you need to do next with respect to the evidence left behind at the scene. In addition, consider what you need to do with any other evidence you may discover at the precinct from Abby and Bobby or on their persons. As you consider your next steps, address the following issues:
• Do you have probable cause to arrest Abby for any crime? Explain.
• What information, if any, must you list on an affidavit to secure a search warrant for Abby and Bobby’s house?
• What actions (or inactions) taken by officers Christina and David were relevant with respect to the evidence you discovered on the scene?
• What is the scope of your warrant?
• Should you search Abby and Bobby upon their arrival at the precinct? What do you expect to discover on their persons and at the crime scene? How will you obtain evidence that may or may not be found on Abby and Bobby’s person? For instance, they may have drugs in their pockets, or Bobby may have another weapon on his person.

 

IV. Community Nursing Diagnosis and Plan of Care
1. Make a critical analysis (2 pages) between the data presented and the specific problems in Paterson.You will need to do this prior to presenting your nursing care plan in Part IV. Four issues: Population, Education, Health Statistics, and Social Problems
2. Synthesize all the data you have presented in the previous 3 sections of the Community Assessment Project in order to identify and prioritize 2 nursing diagnoses. Please present all data in charts.
3. These 2 community diagnoses are to be prioritized and identify the rationale and criteria you used in prioritizing the list. To help you prioritize these diagnoses refer to Nies & McEwen, pg. 101. Please explore the Healthy People 2020 website, specifically MAPIt to review innovative programs.
Once you have identified the priority nursing diagnoses, you are to develop a community nursing care plan for the two priority diagnoses. (review Nies and McEwen pg.101 for format of nursing diagnosis). Diagnosis of the community should identify the health needs and strengths of this community. You need to support these conclusions with assessment data found in the body of your project. Be sure, this community nursing care plan includes:
• desired goal and outcome objective for the each priority diagnosis
• feasible plan of action that includes nursing interventions appropriate for each problem identified. Review MAP ITT for ideas
• include the community organizations you would involve in these interventions.
• Identify current programs that are out there and their effectiveness
• develop a strategy for evaluating the effectiveness of your goals and objectives. What outcome measures would you use?

 

When change is imminent is an organization, there are specific steps that must be taken to develop the proper communication procedures and guidelines for the change process. Assume that you have been assigned the role of “toxic handler.” In your paper:
a. Describe the toxic handler concept.
b. Explain how you will prepare to effectively handle the role.
c. Discuss what you consider to be your biggest challenges.(Be sure to provide potential solutions).
Your paper should be three to four pages in length (excluding the title and reference pages). Your paper must formatted according to APA style as outlined in the Ashford Writing Center, and it must include in-text citations and references for at least two scholarly sources from the Ashford University Library,in addition to the course text.

Solutions of sulfuric acid and lead (ii) acetate react to form solid lead (ii) sulfate and a solution of acetic acid. If 10.0g of sulfuric acid and 10.0g of lead (ii) acetate are mixed, calculate the number of grams of sulfuric acid, lead (ii) acetate, lead (ii) sulfate, and acetic acid present in the mixture after the reaction is complete.